| NPI | 1497489579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 36091) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 114778) |
| 152W00000X Optometrist (Licence: CO 4007) | |
| 152W00000X Optometrist (Licence: NE 1576) | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2025-08-19 |